Individual
DR. MANVI BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A109611
CA
2080P0214X
Pediatric Pulmonology Physician
263955-1
NY
2080P0214X
Pediatric Pulmonology Physician
Primary
A109611
CA
Other
Enumeration date
12/22/2009
Last updated
03/17/2018
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